Alied Physicians IPA Video Script

ALLIED PHYSICIANS IPA VIDEO SCRIPT

FADE IN:

TITLE FADES IN: Allied Physicians IPA Logo type TITLE FADESIN: (below) The Picture of Health TITLE FADES IN: AlliedPhysicians IPA Employee Training

TITLES FADE OUT:

FADE IN:

Still photo of EKG monitor. We HEAR the tones of healthyheart beat.

MFX: Musical theme fades in.

MONTAGE: Series of still shots cut to the beat of the EKG.Time-lapse of sun rising over downtown. Crowded freeway.Visually graphic scenarios featuring a cross section of ethnicgroups as “blue collar” workers in factories. ei. welding,inspecting quantities of single product on a conveyor beltetc. Doctors serving patients intercut with Allied Physiciansemployees and the facilities.

ANNOUNCER (V.O.)People make the world go around. Weat Allied Physicians IPA have beenapart of keeping the work force, thelife blood of a healthy economy movingahead for almost a decade. To us, asick day is a bad day for everyone.As a new employee, you are about tobecome a valuable member of team ona mission.

Series of still photos of employees serving members.

ANNOUNCER (V.O.) (CONT'D)(continuing)

As a key player you’ll be apart ofhelping us reach our goal -- todeliver the best possible medicalcare to our members in a timely andefficient way.

Series of still shots (different ethnic groups and ages) ofmembers being served in different clinics and hospitals.


Allied Physicians IPA is in the peoplebusiness. Our slogan “We understandand we care” grew out of the hands-on experiences of the caringphysicians who founded IPA.

(MORE)

2.

ANNOUNCER (V.O.) (CONT'D)They looked into their patients eyesand felt their needs. They heard itin their voices -- the same fear andconfusion we all feel from time totime but during a time of sicknesseverything seems larger than life.Our members look to us to help themthrough these times of need. Theylook to us to help them make theirway though the healthcare system.

Hold on a “touching” shot of an elderly female member lookinginto her doctors eyes.


We touch people of all races andwalks of life giving them the bestwe have to offer. We’ve developed atime tested way of working. The AlliedPhysicians IPA system. A systemdedicated to serving members needs.

Wide shot of page with logos of healthcare providers. Zoomin on one and do a series of lap dissolves through severalmore of the best known ones.


We have a history of caring. Overthe years we’ve established longterm working relationships with over800 of the finest healthcare providersin the nation. Each and everypartnership is built on mutual respectand understanding because our goalsare the same. Our patients needsalways come first.

TITLE FADES IN: Claim Department Animated version of theClaim department work flow chart done in a Web compatibleprogram (ei.Director). Highlight “receipts” box.


As a new employee, your first contactwith a valued member is through theirclaim form. The NMM’s Claim Departmentis fully authorized by subscribinghealth plans to process professionalclaims in order to make prompt andaccurate payments to providers.

Still shot of employee sorting mail.

3.


For this reason, all mail, faxes orother correspondence is alwaysconsidered a top priority. You mustalways keep in mind that there is amember in need behind the name ontheir form.

Animated version of the Claim department work flow charthighlighting “date stamp” box. A still shot of an employeestamping a piece of mail with a priority stamp.


You’ll be responsible for prioritizingand stamping the NMM receipt date oneach piece received.

Animated version of the Claim department work flow charthighlighting “sort” box. A still shot of an employee sortingpieces of mail.


Next you’ll sort each piece by IPSsuite letter.

Animated version of the Claim department work flow charthighlighting “batch” box. A still shot of an employee batchingpieces of mail.


You’ll batch the claim by type.Capitated, Specialsis, FFS whichleads to...

Animated version of the Claim department work flow charthighlighting “log into system” box. A still shot of anemployee doing data entry.


...logging the claim into the system.At this point the member is officiallyon their way toward receiving thebest we have to offer.

Animated version of the Claim department work flow charthighlighting “deny, reject and forward”.


Sometimes problems arise. (MORE)

4.

ANNOUNCER (V.O.) (CONT'D)This is where the trouble-shootingpart of the process begins. The systemmay deny a claim due to non-eligibility on DOS. A claim can alsobe rejected if, through no fault oftheir own, a member forgets and leavessome essential information off theirform.

CU of an employee’s hand highlighting a missing signaturebox on the claim form.


All problems have solutions. A quickcatch is considered a save in yourskillful hands. An additionalinformation request should be filledat this point. Upon receipt of themissing data an additionalinvestigation of the memberseligibility will be conducted todetermined whether any furtherauthorization should be sought todiscern any further irregularities.The process receives what’s called aICD-9/CPT coding. At this point theclaim is either forwarded as a sharedrisk or returned because claimant isnot a NMM member.

Animated version of the Claim department work flow charthighlighting “adjudicate” and “weekly check run” boxes.


Further problems with a claim maynecessitate a legal resolution. Thestatus of all normal and problemclaims are recorded during the weeklycheck run.

TITLE FADES IN: Eligibility/Capitation Animated version ofthe eligibility/capitation flow chart fades in.


Determining eligibility is a vitalstep in the claims process. You willhelp maintain the eligibility statusof members that are assigned to themanaged IPAs by the electronic andmanual reconciliation of a healthplan roster.

(MORE)

5.

ANNOUNCER (V.O.) (CONT'D)All the health plans will providethe data necessary to fill the rostervia e-mail or diskettes.

Health plan roster on computer screen.


This is vitally important step inthe process as it ensures paymentsclaimed will be rendered by the healthplans.

Still photo of a smiling doctor.


You’ll also be responsible for issuingcapitation payments to all managedIPA's physicians on a monthly basis.An easy to learn eligibility managersoftware program will help you keepthe Allied roster per health plansgenerated by R&R up-to date and movingforward. Conformation of adjustments,termination’s and additions of membersare determined by matching the Alliedroster with the Health providerroster. All conformation ofadjustments are always approved byour staff.

Still photo of a smiling family.


Next you’ll be responsible to placingmembers into one of our long list ofquality IPA’s. New members will findthey are as well received as youwill be on first meeting because ofour establish, rock-solid workingrelationships over the years.

Pull back to reveal family on computer screen. Name and claimnumber appear at the bottom of the screen.


All new members are now officiallyput into EZ CAP and Sub IPA systemsand the existing files are allupdated. An EZ CAP master is generatedwith member’s new assignments toPCP’s, EZ CAP APC’s and all sub IPA’s.

6.

Still photo of member taking letters out of curb side mailbox.


Letters are generated to informmembers that they have been enrolledinto EZ CAP or that no PCP has beenassigned. If adjusted prior to CAPruns CAP is paid for the current runin EZ CAP. Allied capitation checksare generated and reviews and approvedby the chief executive officer. SubIPA checks are reviewed and signedby appropriate officers. Adjustedafter cap run cap payments are madeon the following cap run. If notadjusted member are assign to A 99999PCP I.D.

Still photo of Allied Physician’s employee working with spreadsheet program on computer screen.


Funds are monitored by the accountdepartments and conformation ofaccount balance is generated.

Still photo of Allied Physician’s employee handing a checkto superior for signature.


Sub IPA checks requiring a secondsignature from the assigned signerof that IPA all are monitored byaccounting departments personnel.Capitation checks are released tothe PCP’s. Once a member is notifiedof no current PCP, adjustments aremade at the Health Plan pendingverification by Allied RetroCapitation. All adjustments are madeto EZ Cap and the Cap processcontinues. Capitation Checks arereleased to the PCP’s. Sub IPA checksare sent to the sub IPA contact personfor the second signature then releasedto the PCP.

TITLE FADES IN: Credentialing Department.

A still shot of a pile of folders. The American MedicalAssociation logo appears behind it.

7.


In order to provide the best possiblecare for our members we maintain thehighest possible standards. Anycontracted provider and otherproviders who express interest injoining our team must be screened. Arigorous application and verificationprocess ensues at this point.

A perspective provider stands before an Allied PhysiciansIPA committee.


The application process requestssubmission of a Curriculum Vitae(CV)from the individual. They mustcomplete a short questionnaire basedupon the submitted CV.

Still photo of a Member of the Peer Review Committee ontelephone.


The completed questionnaire and CVare presented to the Peer ReviewCommittee for approval. Upon reviewand acceptance, the individual willbe sent an application if their CVand questionnaire are approved bythe Peer Review Committee.

Still photo of the Peer Review Committee in session.


Once an individual or healthcarefacility application is received,the department has to review andverify every item included in theapplication within 180 days.

Series of still photos of a Peer Review member visiting apotential healthcare facility.


After the completion of papercredentialing, a Facility Site Review(FSR) process begins. This is toensure that the office where theprovider practices is up to thestandards, as well as meeting theregulatory requirements.

(MORE)

8.


Finally the entire application ispresented to the Peer Review Committeefor a final review.

Still photo of the Peer Review Committee welcoming a newhealthcare provider to the team.


If approved the provider will thenbe considered crendintialed andallowed to start seeing our memberpatients.

FADE OUT:

FADE IN:

TITLE FADES IN: Contracting Department Still photo of IPAteam members standing next to a map indicating existing teamfacilities.


Because of our success, our memberroster has grown to a point where wemust always consider widening ourreach by bringing new members to theAllied Physicians IPA family.

Still photo of a IPA team member pointing to a new unchartedarea.


As a member of NMM’s ContractingDepartment you’ll be responsible foracquiring new contracts withprospective IPA's and medical groups.You be able to use your special peopleskills to serve as a liaison betweenIPA's, medical groups, health plans,providers, ancillary providers andhospitals in working out necessaryagreements.

Still photo of an IPA team member writing names of perspectivehospitals and clinics on board.


Your business sense will also comeinto play as you’ll be involved indrafting and negotiating out-of-

(MORE)

9.

ANNOUNCER (V.O.) (CONT'D)network provider claims and you’llcreate new provider files in EZ CAPafter obtaining a Memorandum ofUnderstanding/Contract Agreements.

FADE OUT:

FADE IN:

TITLE FADES IN: Member/Provider Service Department Series ofstill photos showing concerned members talking to an IPAteam member on the phone.


We understand and we care is thetheme that runs throughout theprocess. Now more than ever is thetime to show the member or providerthat this is more than just a slogan.When there is a problem you will beresponsible to solve it. Knowingthat you have other team membersplus a network of qualified healthproviders behind you gives you theconfidence to reach out to the memberand reassure them that everythingwill be all right and not to worry.

The IPA team member is reassuring the member.


When the inquiry call comes in, you’llanswer all questions regardingfunction of managed care, healthplan benefit coverage, physicianassignment, co-payments, billing,direct referrals or any other concernsthe member may have.

Elderly member being helped into a van.


You’ll assist members in choosing aphysician, making appointments fordoctors visit, arrangingtransportation for senior members toand from physicians offices. Showingyou care has its rewards.

Elderly patient giving IPA employee a kiss.

10.


Next you tap into your networkresources by forwarding calls fromproviders and their staff to theappropriate department and personnelat Allied Physicians IPA.

Still photo of member appearing upset.


Complaints are a fact of life. Theydon’t have to stay that way. Followingour theme of caring and understandingyou’ll assist members in filing aformal complaint report. Eachdiscussion with the member should bedocumented so you can chart a speedyresolution and give them the feelingthat they are not being ignored.

Still photo of upset member smiling again.


You’ll then prepare monthly, quarterlyand yearly summary reports to uppermanagement and Quality ManagementCommittee. This aides in thepreparation of trending/trackinganalysis for implementing qualityimprovement measures.

FADE OUT:

FADE IN:

TITLE FADES IN: Marketing & Enrollment Department MONTAGE:Map of area. Series of still photos of NMM Marketing &Enrollment teams members visiting different healthcarefacilities in neighborhood settings. Team members meetingnew people and shaking hands. Team member giving printedbrochures to perspective team members.


As a member of the NMM Marketingteam, you’ll help maintain a positiveimage for the company and promoteits products and physicians througha variety of media including:television, radio, newspapers andmany other types of periodicals.

Team members at community events. Health fairs.

11.


You’ll get to know the people youare serving by meeting them one-on-one as an active participant andsponsor to many community events.You’ll be able to keep your hand onthe pulse of the community thoroughour state of the art proprietarydatabase management system. With thetouch of a keyboard, you’ll be ableto effectively track inquires andgenerate leads through referralsources.

Still photo of team member reviewing reports and TVstoryboards for a new advertising campaign.


Reports generated from this “AdTracking System” allow properevaluation and analyzation to takeplace for implementing the mosteffective advertising campaigns. Themain focus of the sales team is onenrollments and member growth. Theenrollment representatives areinvolved with the actual memberenrollment process. They interactwith customers, providers, healthplans, insurance agents and brokerson a regular basis. The team alsoparticipates actively in health fairs,flu fairs, and seminars and othercommunity events.

SFX: EKG fades in.

FADE OUT:

FADE IN:

MONTAGE: Series of still shots cut to the beat of the EKG.Time-lapse of sun setting behind skyline of downtown. Stilltime-lapse shot of streaking red from cars on a crowdedfreeway.



We are in the people business. Tounderstand are care about what happensis a special quality shared by allour team members at Allied PhysiciansIPA.

12.

Still shots featuring scenarios of a cross section of ethnicgroups as “blue collar” workers at home with their families.


Our founders over a decade ago knewthe answer to caring for people intimes of illness takes a specialkind of person. We welcome you toour caring family.

Still shot of a group of Allied Physicians employees outsidethe facilities.

FADE OUT:

FADE IN:

TITLE FADES IN: Allied Physicians IPA Logo type TITLE FADESIN: (below) The Picture of Health TITLE FADES IN: NewHealthcare Provider Introduction

TITLES FADE OUT:

FADE IN:

EKG monitor. We HEAR the tones of heart beat increasing.

Series of shots cut to the beat of the EKG of a baby beingborn.


Still photo of the new parents as the Doctor puts the newbornin a tearful mother’s arms. Still photo of the baby crying.The Doctor smiles proudly. Still photo of the AlliedPhysicians IPA facilities.

ANNOUNCER (V.O.) (CONT'D)As a new healthcare provider, wewant to welcome you to AlliedPhysicians IPA. You are about tobecome a valuable member of team ona mission.

Series of still photos of employees serving members.


Our goal is to deliver the bestpossible medical care to our membersand unwavering support to our networkof healthcare providers.

Series of still shots (different ethnic groups and ages) ofmembers being served in different clinics and hospitals.

13.


Allied Physicians IPA is in the peoplebusiness. Our slogan “We understandand we care” grew out of the hands-on experiences of the caringphysicians who founded IPA more thana decade ago.

A still photo of a member doctor putting a stethoscope tothe heart of an elderly Asian woman. She looks reassuredunder his care.


They looked into their patients eyesand felt their needs. They heard itin their voices -- the same fear andconfusion we all feel from time totime but they tempered it with anunique understanding that during atime of sickness everything seemslarger than life. Our members lookto us to help them through thesetimes of need. They look to us tohelp them make their way though thehealthcare system. Our relationshipswith members and healthcare providerswithin our vast network are built ontrust. Each member counts on ourproviding the best medical careavailable to them. Each healthcareprovider counts on our unyieldingsupport to make it all happen. As anew member of our team you meet ourhigh standards of quality care andtherefore have our trust and support.

Hold on a “touching” shot of a Hispanic family looking intotheir doctors eyes.


You’ll find our patient members comefrom all races and walks of life.We’ve developed a time tested way ofworking over the years we call itThe Allied Physicians IPA system. Asystem dedicated to cutting throughunnecessary administrative delaysand focusing on serving our membersand healthcare providers needs first.

Wide shot of page with logos of healthcare providers.

14.

Zoom in on one and do a series of lap dissolves throughseveral of the best known ones such as Blue Shield, Aetna,Blue Cross, CIGNA Health Plan, Pacificare etc.


We have a history of caring You’llimmediately find that you are ingood company when you join our team.Over the years we’ve establishedlong term working relationships withover 800 of the finest healthcareproviders in the nation. Each andevery partnership is built on mutualrespect and understanding becauseour goals are the same.

Series of still photos of member hospitals featuring logo.


Our healthcare network referralprogram was created to provide youwith the opportunity to consult withhealthcare providers in your area ofspecialization or with others inrelated areas such as cardiology,dermatology, urology,gastroenterology, gynecology,oncology, neurology, OB just to namea few. Referral consolations take anaverage of 24 hours to arrange.

TITLE FADES IN: Claim Department Animated version of theClaim department work flow chart done in a Web compatibleprogram (ei.Director). Highlight “receipts” box.


As a new heathcare provider, yourfirst contact with us is through themember’s claim form. The NMM’s ClaimDepartment is fully authorized bysubscribing health plans to processa professional claims in order tomake prompt and accurate payments toyou or your organization as a memberhealthcare provider.

Still shot of employee sorting mail.


For this reason, you can count onall mail, faxes or othercorrespondence always being considered

(MORE)

15.

ANNOUNCER (V.O.) (CONT'D)a top priority. We always keep inmind that there is a member in needas well as a healthcare providerbehind the names on their form.

Animated version of the Claim department work flow charthighlighting “date stamp” box. A still shot of an employeestamping a piece of mail with a priority stamp.


The first step is prioritizing andstamping the NMM receipt date oneach piece received.

Animated version of the Claim department work flow charthighlighting “sort” box. A still shot of an employee sortingpieces of mail.


Next the claim form is sorted IPSsuite letter.

Animated version of the Claim department work flow charthighlighting “batch” box. A still shot of an employee batchingpieces of mail.


Next the claim is sorted by type.Capitated, Specialsis, FFS whichleads to...

Animated version of the Claim department work flow charthighlighting “log into system” box. A still shot of anemployee doing data entry.


...logging the claim into the system.At this point the member is on theirway toward receiving the best wehave to offer. As one of our teamdoctors or healthcare facilitiesyou’ll immediately become a part ofan established system dedicated toplacing our patient members with thebest possible physician and healthcarefacility available to meet theirimmediate needs.

Animated version of the Claim department work flow charthighlighting “deny, reject and forward”.

16.


But sometimes problems arise in theprocess. This is where our trouble-shooting experts turn problems intosolutions. The system may deny aclaim due to non-eligibility on DOS.A claim can also be rejected ifinformation is missing.

CU of an employee’s hand highlighting a missing signaturebox on the claim form.


An additional information requestwill be immediately filed and therequest mailed out. Upon receipt ofthe missing data an additionalinvestigation of the memberseligibility will be conducted todetermined whether any furtherauthorization should be sought todiscern any further irregularities.The process receives what’s called aICD-9/CPT coding. At this point theclaim is either forwarded as a sharedrisk or returned because claimant isnot a NMM member.

Animated version of the Claim department work flow charthighlighting “adjudicate” and “weekly check run” boxes.


Further problems with a claim maynecessitate a legal resolution. Thestatus of all normal and problemclaims are recorded during the weeklycheck run. To every problem there isa solution and our goal is to getthings on track as soon as possibleso the members needs can be addressed.

TITLE FADES IN: Eligibility/Capitation Animated version ofthe eligibility/capitation flow chart fades in.


As you can see, determiningeligibility is a vital step in theclaims process. Our team members arededicated to keeping the processmoving ahead.

(MORE)

17.

ANNOUNCER (V.O.) (CONT'D)They help maintain the eligibilitystatus of members that are assignedto the managed IPAs by the electronicand manual reconciliation of a healthplan roster. All the health planswill provide the data necessary tofill the roster via e-mail ordiskettes.

Health plan roster on computer screen.


This is vitally important step inthe process as it ensures paymentsclaimed will be rendered by the healthplans. Maintaining healthyrelationships between healthcareproviders and members is top priority.The greatest effort possible is madeto ensure all payments are made in atimely manner.

Still photo of a smiling doctor.


We’re also responsible for issuingcapitation payments to all managedIPAs’ physicians on a monthly basis.Each employee is computer literateand fluent on our eligibility managersoftware program which helps keepthe Allied roster per health plansgenerated by R&R up-to date and movingforward. Conformation of adjustments,termination’s and additions of membersare determined by matching the Alliedroster with the Health providerroster. All conformation ofadjustments are approved by our staff.

Still photo of a smiling family.


Placing members into one of our longlist of quality IPA’s is the nextimportant step and the mostgratifying. New members will findthey are as well received as youwill be when you need to consult orvisit a hospital facility in ournetwork.

(MORE)

18.

ANNOUNCER (V.O.) (CONT'D)Rock-solid working relationshipsbuilt over the years puts you on asolid foundation anywhere you go.

Pull back to reveal family on computer screen. Name and claimnumber appear at the bottom of the screen.


All new members are now officiallyput into EZ CAP and Sub IPA systemsand the existing files are allupdated. An EZ CAP master is generatedwith member’s new assignments toPCP’s,EZ CAP APC’s and all sub IPA’s.

Still photo of a husband and wife reading enrollment form.


Letters are generated to informmembers that they have been enrolledinto EZ CAP or that no PCP has beenassigned. If adjusted prior to CAPruns, CAP is paid for the currentrun in EZ CAP.

Still photo of Allied Physician IPA team member and theirsupervisor reviewing checks.


Allied capitation checks aregenerated, reviewed and approved bythe chief executive officer. Sub IPAchecks are reviewed and signed byappropriate officers. Adjusted aftercap run cap payments are made on thefollowing cap run. If not adjustedmembers are assigned to A 99999 PCPI.D.

Still photo of a member of the accounting team reviewing afinancial page on the computer.


Funds are monitored by the accountdepartments and conformation ofaccount balance is generated.

CU of screen.

19.


Sub IPA checks requiring a secondsignature from the assigned signerof that IPA all are monitored byaccounting departments personnel.Capitation checks are released tothe PCP’s.

Still photo of a member reading notification notice.


Once the member is notified of nocurrent PCP and adjustments are madeto the Health Plan pendingverification by Allied RetroCapitation, adjustments are made toEZ Cap and the Cap process continues.Capitation Checks are released tothe PCP’s. Sub IPA checks are sentto the sub IPA contact person forthe second signature then releasedto the PCP.

FADE OUT:

TITLE FADES IN: Credentialing Department. AMA logo fadesin.


In order to provide the best possiblecare for our members we maintain thehighest possible standards.

Series of still photos of the faces of “seasoned” medicalstaff at work in different departments.


Rest assured that our “Direct ReferralProgram” will provide you assistanceyou can count on. Any contractedprovider or permanent providers whoexpress interest in joining our teammust be screened in the same way youhave been. A rigorous applicationand verification process ensues atthis point.

A perspective provider stands before an Allied PhysiciansIPA committee.

20.


The application process requestssubmission of a Curriculum Vitae(CV)from the individual. They mustcomplete a short questionnaire basedupon the submitted CV. The completedquestionnaire and CV are presentedto the Peer Review Committee forapproval. Upon review and acceptance,the individual will be sent anapplication if their CV andquestionnaire are approved by thePeer Review Committee.

Still photo of a perspective healthcare provider and a PeerReview Committee member talking.


Once an individual’s or hospitalsapplication is received, thedepartment has to review and verifyevery item included in the applicationwithin 180 days.

Series of still photos of a Peer Review member walking towarda potential healthcare facility.


After the completion of papercredentialing, a Facility Site Review(FSR) process begins.

Several shots of internal operations including surgical unit,laboratory, radiology etc. while actual medical proceduresare being conducted.


This is to ensure that the officewhere the provider practices is upto the standards, as well as meetingthe regulatory requirements.

Still photo of the Peer Review Committee welcoming a newhealthcare provider to the team.


Finally the entire application ispresented to the Peer Review Committeefor a final review.

(MORE)

21.

ANNOUNCER (V.O.) (CONT'D)If approved the provider will thenbe considered credentialed and allowedto start seeing our member patients.

FADE OUT:

FADE IN:

TITLE FADES IN: Contracting Department

FADE IN:

Still photo of IPA team members standing next to a mapindicating the existing network of IPA team healthcarefacilities.


Because of our success, our memberroster has grown to a point where wemust always consider widening ourreach by bringing new members to theAllied Physicians IPA team.

Still photo of a IPA team member pointing to a new unchartedarea.


Our NMM’s Contracting Department isresponsible for acquiring newcontracts with prospective IPAs andmedical groups and serves as a liaisonbetween IPAs, medical groups, healthplans, providers, ancillary providersand hospitals in working out necessaryagreements.

Still photo of an IPA team member writing names of perspectivehospitals and clinics on board.


Our people are responsible fordrafting and negotiating out-of-network provider claims and createnew provider files in EZ CAP afterobtaining a Memorandum ofUnderstanding/Contract Agreement.

FADE OUT:

TITLE FADES IN: Member/Provider Service Department

22.

FADE IN:

Series of still photos showing concerned members talking toan IPA team member on the phone.


We understand and we care is thetheme that runs throughout theprocess. To us, this is more thanjust a slogan. When there is aproblem, our team members aremotivated to solve it. Knowing thatyou are a part of a network ofhealthcare providers who are inconstant communication gives you theconfidence to reach out when youneed to.

The IPA team member is reassuring the member.


When the inquiry call comes in eitherfrom a member or provider regardingfunction of the managed care, healthplan benefit coverage, physicianassignment, co-payments, billing,direct referrals or any other concernsthey are given top priority.

Elderly member being helped into a van.


We assist members in choosing aphysician, making appointments fordoctors visit, arrangingtransportation for senior members toand from physicians offices. Allcalls from healthcare providers orsupport staff are immediatelyforwarded to the appropriatedepartment and personnel at IPA.Caring has its rewards.

Still photo of an elderly middle-eastern patient giving anIPA employee a kiss.


Complaints are a fact of life too,but that doesn’t me they have tostay that way. In fact they are howwe learn to improve our services.

23.

Still photo of an IPA team member helping an elderly blackwoman fill out her form.


Following our theme of caring andunderstanding our teams will assistmembers in filing a formal complaintreport. Each discussion with themember is documented and charted fora speedy resolution which gives thepatient member the feeling that theyare not being ignored. Monthly,quarterly and yearly summary reportsare prepared and sent to uppermanagement and Quality ManagementCommittee. This aides in thepreparation of trending/trackinganalysis for implementing qualityimprovement measures.

FADE OUT:

TITLE FADES IN: Marketing & Enrollment Department

FADE IN:

MONTAGE: Map of area. Series of still photos of NMM Marketing& Enrollment teams members visiting different healthcarefacilities in neighborhood settings. Team members meetingnew people and shaking hands. Team member giving printedbrochures to perspective team members.


Our NMM Marketing team has its handon the pulse of the community. Teammembers help maintain a positiveimage for the company and promoteits products and physicians througha variety of media including:television, radio, newspapers andmany other types of periodicals.

Team members at community events. Health fairs.


Our people get to know the people weare serving by meeting them one-on-one as an active participant andsponsor to many community events.Our state of the art proprietarydatabase management system allowsour marketing people the ability totap into a network which effectively

(MORE)

24.

ANNOUNCER (V.O.) (CONT'D)tracks inquires and generates leadsthrough referral sources.

Still photo of team member reviewing reports and TVstoryboards for a new advertising campaign.


Reports generated from this “AdTracking System” allow properevaluation an analysis to take placefor implementing the most effectiveadvertising campaigns. The main focusof the sales team is on enrollmentsand member growth. The enrollmentrepresentatives are involved withthe actual member enrollment process.They interact with customers,providers, health plans, insuranceagents and brokers on a regular basis.The team also participates activelyin health fairs, flu fairs, andseminars and other community events.

FADE OUT:

FADE IN:

SFX: EKGMONTAGE: Series of still shots cutto the beat of the EKG. MONTAGE:Series of still photos of the mother,father and newborn baby from titlesequence intercut with doctors andhealthcare workers in hospitalsworking in labs, x-ray, surgicalsituations.


ANNOUNCER (V.O.)(continuing)

We are in the people business. Tounderstand and care about what happensto people is a special quality sharedby all our team members at AlliedPhysicians IPA.

Still shots featuring scenarios of a cross section of ethnicgroups as “blue collar” workers at home with their families.


We welcome you as a caring healthcareprovider to our growing family.

25.

Still shot of a group of Allied Physicians employees outsidethe facilities.

FADE OUT:

Date post:	01-Mar-2016
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Alied Physicians IPA Video Script

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